What’s Happening to our Patients in their Final Year of Life?

We want to “die well” which includes: • Effective symptom management • Receiving care consistent with wishes Who achieves this, and how? • Primary care physicians (PCPs) – Insufficient time and training • Palliative care physicians – Better quality care and decreased health care cost in last years of life • “Surprise Question” – “Would you be surprised if this patient dies in the next year?” • To recognize our sickest patients and discuss goals of care and consult palliative care, if appropriate • “Advance care planning tab” – To record code status, advance directive, POLST forms, medical power of attorne